Retinitis Pigmentosa Treatment
Functional recovery of vision in Retinitis Pigmentosa by Omental Transplant
(World wide accepted - Telecast in Living Pulse II series by Discovery Channel)
|Eye can be revascularized by
Pedical Omentopexy, improve vision
(Retina pigmentosa, Macular degen, Choroditis, Central
artery occlusion Optic atrophy)
Myocardium total revascularization by T.M.R.
Dr. V.K. Agarwal, Rt. Director Medical Education, Dean and
Prof. Emeritus Medical College, Indore, India
M.S., F.I.C.S, F.A.C.S.
Sanjeevni Nursing Home
1, A Phadnis Colony
AB Road, Indore-452009 (MP) INDIA
Tel.: (91 731) 2534346(R), 2430033, 2542020(C)
Email : email@example.com
Blood is needed for survival of tissues and organs Ischemia (loss of blood supply) leads to degeneration of tissues organs.
Coronary ischemia leads to Heart attack Peripheral ischemia leads to Gangrene Eye retinal ischemia leads to Blindness.
Eye is a special organ
Anterior chamber has lens and cornea for which treatment is well established Posterior chamber has Retina, which have 1.5 million sensor cells (Rods-Cones)
ischemic disease leads to degeneration of Rods and cones in diseases like Retinitis Pigmentosa (RP), and Age related Macular degeneration (ARMD) Optic Atrophy etc.
having no treatment (Retinitis Pigmentosa Book Ed. Heckenlively JR.’4)
In modern era Bypass Surgery revascularise these tissues but there are many such situation where direct revascularization is not feasible and surgeon feel helpless losing tissue and organ.
Eye is one of them because Retinal artery being intracranial is not assessable for bypass. . While all attempts are done to revascularise retina by newer viteroretinal surgical techniques G.Paymen, and every day claim of achieving success by new techniques are in-vain as none has long term good results and has lot of complication
RP patients are generally confused with these claims based on results of few cases, of short duration. Our technique of Functional restoration of vision Omental transplant is published in scientific journals and chapter in Retinal degeneration book. And have follow up of over 200 cases for 10 yrs.
In such situation where direct
revascularization is not feasible. We have used Greater omentum which is known for its angiogenic properties; Recent studies have shown this is due to stem cells (CD+34 and Ly-1+B) which has power to migrate. This promote angiogenesis and repair and revascularize injured tissue. Vienberg experiment has shown, omentum throws capillaries which anastomose with host capillaries in ischemic tissues in 3-8 day on its own. We have utilized it for limb salvage for last 30 yrs. with 85% good results Using our 25 yrs. experience of limb revascularisation with omentum and with published experimental study, that intact omentum can be transplanted in eye safely, with evidence of developing bypass between omental and retinal vessels(6), we modified Agarwal technique(7) of Pedicle Omental transplantation to eye by which stomach vessel supplies eye (retinal bypass surgery).
It resulted a break through in medical science by restoring vision .. Follow up of over 250 cases of retinitis pigmentosa over long term have shown further deterioration of vision is checked in all cases. Patients with vision more than counting finger over 3 feet, restored vision, ICG angiogram have shown improvement of choridal circulation to normal limit in early cases.
With our continue good results, Pedicle omental transfer offers new ray of hope in a-vascular diseases of retina Retinitis Pigmentosa to stop further detoration
and Improve vision. We recommend early operation as Post
operative recovery is directly proportionate to pre-op. vision.
Copyright © Dr. V.K. Agarwal. All